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PUBLIC *ORKS PERMIT �teApplied: 8/30/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1808-070 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: C1808-007 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $262.00 <br /> 0 FEB2019: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PYATAK VLADIMIR PYATAK VLADIMIR <br /> 3120 W MUKILTEO BLVD 3120 W MUKILTEO BLVD <br /> EVERETT, WA, 98203 EVERETT, WA, 98203 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: SITE ADDRESS: 1910 74TH ST SE <br /> DESCRIPTION: STORM WATER-SITE WORK <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards and <br /> Specifications for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig.The day you call does not count.TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 9/5/2018.Approved plans must <br /> remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a consultation and to <br /> evaluate Erosion/Sedimentation control set-up.All inspections must be formally requested.See the attached handout for phone number <br /> and online instructions to Request an Inspection. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon completion of <br /> the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on- <br /> site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the <br /> improvements located therein. <br /> 10.This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspection line to request a Final <br /> for this permit when all items have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use <br /> of the right-of-way for municipal purposes. <br /> 12.A Right-of-Way Dedication to the City of Everett is required for this project. New propertly line should be 25 feet from Right-of-Way <br /> centerline. Complete included Statutory Warranty Deed and record with Snohomish Co ty prior to final inspection. <br /> Public Works Permit Fee Breakdown: ate <br /> Erosion Control $50.00 �J <br /> Grade/Fill/Excavate(360CY) $102.00 <br /> Paving(1,616SF) $45.00 FA-Lb <br /> Misc. Minor Permits(Drainage Work) $25.00 C <br /> PW Plan Review $20.00 J�r , 'oI <br /> PW Site Inspection $20.00 Iyer OF 9 <br /> ;te�,�^'/ <br /> City of Everett Official Use Only AL�iV� T OF CONDITIONS <br /> The undersigned owner/g�� i 'hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> expenses,or causes of action that may arise because of installation and <br /> G T- maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace u lic roperty damaged thereby. <br /> FINAL INSPECTION Date 0A0 \°\ <br /> Approved as Constructed (PW Inspector) Signatu e of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> Fu-c Go P1 <br />